HomeMy WebLinkAbout0158184-Building (raze garage) � CITY OF OSHKOSH No 158184
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 356 W 6TH AVE Create Date 10/10/2013 '
Project Raze Structure _ Project Number 0
Owner SIX RIVERS INVESTMENTS LLC Plan
Contractor BEAVER WRECKING
Inspector Nicole Krahn
Designer
Category 285-Raze Structure(s)—Commercial Type of Plan
Zoning C-3PD _ Square Footage
Major Occ Const Class
Fire Protection � Sprinkled � Unsprinkled � Sprinkler Design
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
� Projection '', Canopies Signs
Use/Nature
of Work
COMM/Razing the existing garage on the lot. No plumbing is located in the garage.
I I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,000.00 Plan Approval $0.00 Pertnit Fee Paid $44.00 Park Dedication $0.00
Issued By: �,� Date 10/10/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel id#0900010000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read nd u erstap(1 he afore tio d i formation. f b�Id�2(l�3
Signature uZ Date
AgenUOwner
Address W 8031 HWY 33 BEAVER DAM WI 53916 - 0000 Telephone Number 887-7030
*285-Raze Structure(s)—Commercial See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500-113
on the DNR Asbestos Program website;http://dnr.wi.gov/air/compenf/asbestos/.For additional information on hazards present in
buildings see the Pre-Demolition Environmental Checklist at http://dnr.wi.gov/org/aw/wm/publications/anewpub/WA651.pdf
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of :
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
P O Box 1li0
� �1-1-y �f OS���s� Oshkosh,�lI 54903-1130
� �' Phone: (920)236-5050
Fa�c:(920)236-5084
Building Permit Application ���►.oshkosh.wi.us
Project /�
Address 3 J �p (,�, � rl-{ �f/L
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name S 1!( R�V�/I S S t� v�_ST p7 Eni;S Phone 9 2 0 - '�0 3 - 1 gi��
Tenant
Address ('„p� 02��0'(l� Email
Contractor Company Name �C{4UE/1 SC�U/C ES r�1� Phone 9�d-��D -030 Z
Contact ��QihQ '�c,��e�- Email
Address u� q031 N�( 3`3 (3C�v�2 �A(I1 (��5� 5 3q I�
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project Qr-mo��r�o�v �F �A�l�1C'ot (3UIC1�l/IJ(-i
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job
$ 2��0 0 `— (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash� Permit Fee Account
I certify the above infornaation is complete and accu�•ate. Anv deviations from the above submitted information may requii•e additional pe�•mits
to be obtained. I acknowled e and agree to these terms.
N2me: '(3�c��n� � Qy� �Q�� (Piease print) D2te: 1 D- \D - 2 01`�
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Signature: